Steven L Borden, PHARM D
Individual provider Active NPI Pharmacist · Burley, ID
NPI 1295027209 · NPPES record last updated Jul 5, 2023
Key facts
- NPI
- 1295027209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- P5174 (ID)
- Practice address
- 1300 Hiland Ave
Burley, ID 83318 - Phone
- (208) 878-3278
- NPI assigned
- May 9, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P5174 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hiland'S Thirteen Inc. | Current |
Accepting new patients | |
| Smith'S Food & Drug Centers Inc | Past | Accepting new patients | |
| Smiths Food & Drug Centers Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P5174 | ID | Yes |
Addresses
Primary practice location
1300 Hiland Ave
Burley, ID 83318
Mailing address
328B W 100 S
Rupert, ID 83350-9685
Phone (208) 436-1983
NPI Registry JSON
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1295027209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328B W 100 S",
"city": "RUPERT",
"state": "ID",
"postal_code": "833509685",
"telephone_number": "208-436-1983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HILAND AVE",
"city": "BURLEY",
"state": "ID",
"postal_code": "83318",
"telephone_number": "208-878-3278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDEN",
"first_name": "STEVEN",
"middle_name": "L",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-09",
"last_updated": "2023-07-05",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burley, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.